Abstract:
:Fundamental principles of management of breast burns begin with recognition and preservation of any viable breast bud tissue. Reconstruction begins when the burned breast envelope is insufficient to allow unrestricted breast development. Complete contracture release is obtained by incision or excision of the restricting burn scar and thick split-thickness grafting. Occasionally, breast mound reconstruction with regional musculocutaneous flaps or tissue expanders is necessary. Balancing procedures, such as reduction or mastopexy of an opposite unburned breast, are often helpful. After a period of 6 to 12 months of compression garments, scar management, and settling, nipple-areola reconstruction is undertaken and consists of a combination of local flaps, full-thickness grafting, or composite grafts tailored to each patient's needs. Long-term follow-up is necessary to ensure that breast development continues satisfactorily and that contractures do not recur.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
MacLennan SE,Wells MD,Neale HWsubject
Has Abstractpub_date
2000-01-01 00:00:00pages
113-9issue
1eissn
0094-1298issn
1558-0504journal_volume
27pub_type
杂志文章,评审abstract::An understanding of the biology of soft-tissue sarcomas and knowledge of refined techniques of adjuvant therapy have allowed limb-sparing procedures to become predominant in the management of these tumors. Immediate bony reconstruction with prosthetic implantation has met with consistent success largely because of the...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1995-01-01 00:00:00
abstract::Close cooperation between the plastic surgeon and the otologist, with each understanding and respecting the importance of the other's role, will provide the atresia/microtia patient with the best possible chance of a successful outcome. The purpose of the atresia repair is to improve hearing. Our goal is to attain, th...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1990-04-01 00:00:00
abstract::Patients with bladder acontractility caused by lower motor neuron lesion are generally dependent on lifelong clean intermittent catheterization with all of its inherent risks. The functional neurovascular transfer of the latissimus dorsi muscle to the pelvis allows the restoration of voluntary voiding. This article de...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2012.07.017
更新日期:2012-10-01 00:00:00
abstract::Knowledge of abdominal anatomy is key to achieving optimal results in abdominoplasty. With adequate knowledge of the anatomy, the surgeon can tailor his or her techniques to fit the needs of the patient while still maximizing the blood supply to the abdominal flaps and minimizing complications. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2010.03.003
更新日期:2010-07-01 00:00:00
abstract::A conservative osteotomy of the zygomaticomaxillary buttress in combination with a rapid palatal expansion appliance is a dependable technique for the treatment of horizontal maxillary deficiency in adults. This procedure has been used successfully in 56 patients in our series, but 17 patients (30 percent) required a ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract::In response to facial skeletal differences across race, and cultural differences in what patients feel to be aesthetically desirable, surgical procedures continue to evolve. Mandibular angle reduction and zygoma reduction are powerful procedures for affecting facial skeletal change to achieve a softer, less angular, f...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2007.05.005
更新日期:2007-07-01 00:00:00
abstract::This article presents a survey of some of the nonpigmented cutaneous lesions that have the propensity or possibility to progress or transform into malignancies. For each lesion, the author discusses clinical appearance and course, histologic features, and general recommendations for treatment. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1987-04-01 00:00:00
abstract::Intrathoracic infections associated with infection, leakage, or bleeding of the airway, lung parenchyma, esophagus, heart or great vessels is a life-threatening situation that luckily is infrequently seen. Failure to control these infections with the usual techniques can often be attributed to the presence of persiste...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1990-10-01 00:00:00
abstract::Ambulatory surgery in a private plastic surgery office is a practical and desirable reality. This can be achieved only in a properly staffed facility. A small number of employees are needed but each must be carefully selected for proper qualifications and attributes, appropriate training and skills necessary to execut...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1983-04-01 00:00:00
abstract::In summary, the commonest late physical complications of the burn injury have been reviewed and an approach to their management described. An understanding of the pathophysiology of the conditions is invaluable in planning one's approach to these problems. The techniques to control and correct chronic wound and hypert...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1977-10-01 00:00:00
abstract::Severe injury, whether the result of a major accident, a large burn, or a complicated surgical operation, often results in sepsis. Under such conditions both specific and nonspecific host defense systems are affected. The individual facets of major concern are chemotaxis, phagocytosis, intracellular killing, complemen...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1979-10-01 00:00:00
abstract::The objectives of this article are to explain the mechanisms of injury that result in ischemia of the nipple areolar complex (NAC) after reduction mammaplasty or mastopexy, to offer recommendations about the management of this complication, and to illustrate reconstructive techniques that can be used to correct deform...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.12.012
更新日期:2016-04-01 00:00:00
abstract::Diabetes mellitus is a complex metabolic disorder whose components have several direct and indirect effects on the healing of wounds. This article examines how diabetes affects wound healing from the standpoint of alterations in the microvasculature, nerve function, and the immune system. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1990-07-01 00:00:00
abstract::With growth and development, the hand undergoes profound structural and functional changes. Congenital anomalies lead to development of aberrant functional patterns. Appropriate timing of surgical correction is essential to minimize deformity and prevent development of aberrant function before set patterns of cortical...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1990-01-01 00:00:00
abstract::For the treatment of bone gaps of less than 4 cm, cancellous autografting remains the treatment of choice. But for gaps exceeding 4 cm, the distraction osteogenesis is a viable option. The following conditions should be satisfied: (1) patient selection; (2) stable fixation; (3) osteotomy by corticotomy; (4) 7- to 14-d...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1991-07-01 00:00:00
abstract::All patients with a cleft lip deformity have an associated nasal deformity that varies in degree of severity. A three-dimensional understanding of the anatomy of the cleft nose aids surgeons in selecting the proper technique for repair. Analysis and performance of orthognathic surgery should be done before nasal surge...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.09.016
更新日期:2016-01-01 00:00:00
abstract::There are three mechanisms of bone formation that underlie the use of the different types of implants. In osteogenesis, viable osteoblasts and preosteoblasts are transplanted from one part of the body to the site where new bone is needed; cancellous marrow grafts are an example of such osteogenic engraftment. In osteo...
journal_title:Clinics in plastic surgery
pub_type: 历史文章,杂志文章,评审
doi:
更新日期:1985-04-01 00:00:00
abstract::Developing standardized outcomes and algorithms of treatment is a constantly evolving task. This article examines four variables in this process: cleft type, operative technique, surgical experience, and timing. Input from international cleft lip and palate programs regarding techniques and treatment modalities provid...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract::The endoscope already has revolutionized aesthetic forehead surgery by reducing the morbidity rate associated with the forehead lift operation. The ability to do the operation through a minimally invasive approach is predicated on the illumination and magnification that the endoscope provides. It is this same illumina...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1995-10-01 00:00:00
abstract::Rigid fixation of facial osteotomies has had a significant effect on reducing morbidity in these patients. Any osteotomy in a patient with erupted permanent dentition previously fixed with wires and intermaxillary fixation can now be managed by metal plates and screws, eliminating or decreasing the need for the jaws t...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract::This article explores issues related to tissue engineering and composite tissue allografts that employ physiologic and anatomic autogenous replicates to restore tissue loss. Composite tissue allotransplantation has become a controversial option for reconstruction, most prominently for reconstruction involving the hand...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2006.12.004
更新日期:2007-04-01 00:00:00
abstract::Lockwood's changes in surgical design of the medial thigh lift have improved results and decreased complications but still have the fundamental problem of poor tissue fixation to rigid tissue. To provide increased support to the medial thigh incisions, modifications to this technique have been tried. This article desc...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2007.09.003
更新日期:2008-01-01 00:00:00
abstract::Placing the incision at the hairline or just posterior to the boundary of the hair, with subcutaneous elevation of the flaps, is a more effective way to correct the aging upper face, whether it be "crow's feet," excess forehead skin, or eyebrow ptosis. Furthermore, by placing the facial rhytidectomy incision at the si...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::The advent of acellular dermal matrices (ADMs) has changed the way implant reconstruction is performed and has opened the door to muscle-sparing techniques that can be performed as an NSM (nipple-sparing mastectomy) with DTI (direct to implant) with excellent cosmesis and less patient morbidity. The article discusses ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2017.08.004
更新日期:2018-01-01 00:00:00
abstract::The article focuses on the authors' autologous fat grafting technique and its application in regenerative treatment of different scars and ulcers. Although easy to perform, this surgical approach requires some technical procedures and specific management to maximize its effectiveness which are highlighted in the artic...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.03.008
更新日期:2015-07-01 00:00:00
abstract::The transconjunctival approach to lower lid blepharoplasty provides access for both fat resection and transposition to soften tear trough deformities and correct infraorbital fat herniation. Overall, there is a paradigm shift that has focused more on enhancing lower lid-cheek shape and contour and preserving orbital v...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2014.09.001
更新日期:2015-01-01 00:00:00
abstract::This article presents the author's personal philosophy for treatment of various abdominal wall defects resulting from surgical complications and unfavorable results of previous abdominal interventions. The purpose is not to discuss and analyze care and management of all soft tissue complications encountered after abdo...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2005.12.003
更新日期:2006-04-01 00:00:00
abstract::Botulinum toxin type A (BTA) can be used for facial aesthetics. The 3 currently available BTA types include onabotulinumtoxinA (Botox; Botox Cosmetic, Allergan, Irvine, CA), abobotulinumtoxinA (Dysport; Ipsen, Ltd, Berkshire, UK), and incobotulinumtoxinA (Xeomin; Merz Pharmaceuticals, Frankfurt, Germany). The mechanis...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2016.03.003
更新日期:2016-07-01 00:00:00
abstract::In general, augmentation of soft tissue has been a problem for plastic surgeons because of the body's protective mechanisms against foreign material, but silicone rubber implants are the author's choice of the materials currently available. The aesthetic considerations of the shape of the calf and techniques and compl...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1991-07-01 00:00:00
abstract::Laser technology has evolved rapidly in the last 2 decades. The theory of selective photothermolysis guides the proper selection and use of lasers to safely and effectively treat patients. This review summarizes the basic concepts and adjustable parameters for laser devices, emphasizing the importance of selective pho...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2011.02.007
更新日期:2011-07-01 00:00:00